| NPI | 1891980074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBBARAYUDU KOPPERA Owner 740-622-6474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35-049871) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-11 |